Management of age related macular degeneration: still room for improvement

Howe, Lucien

doi:10.1136/bjo.87.3.375-a

Cited by 4 publications

(7 citation statements)

References 3 publications

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“…The LVA usage rates, found through the patient satisfaction audit, compare favourably with rates reported previously of 77% (Shuttleworth et al. , 1995), 74% (Howe, 1995), 81% (Leat et al. , 1994) and 80% (Harper et al.…”

Section: Discussionsupporting

confidence: 83%

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Low vision service delivery: an audit of newly developed outreach clinics in Northern Ireland*

Lindsay

Bickerstaff

McGlade

et al. 2004

Ophthalmic Physiologic Optic

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Recent publications recommend that low vision services are multi-professional; easily accessible; freely available to all those with visual impairment; monitored by professional and patient groups, and responsive to user feedback. These standards were applied when developing low vision outreach services in Northern Ireland in 1999/2000. Results are reported of the complete clinical audit cycle, coupled with a patient satisfaction telephone questionnaire, which was used to evaluate the service. Of the 48 patients randomly selected from the list of clinic attendees, 28 (58%) were female, 27 (56%) over 80 years of age and 38 (78%) had a primary ocular diagnosis of age related macular degeneration (AMD). Of the 46 low vision aids issued at patients' first appointments, 30 (67%) were illuminated stand magnifiers and 29 (63%) had magnification levels of x5 or less. A total of 46 (96%) patients reported that they had benefited from low vision services.

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Section: Discussionsupporting

confidence: 83%

“…, 1995), the 89.5% who ‘benefited’ from services provided at low vision clinics (Leat et al. , 1994) and the 81% who found ‘the appointment at the low vision clinic helpful’ (Howe, 1995). In McIlwaine et al 's (1991) study, 41 of 91 patients (45.1%) were not satisfied with the service provided.…”

Section: Discussionmentioning

confidence: 99%

Low vision service delivery: an audit of newly developed outreach clinics in Northern Ireland*

Lindsay

Bickerstaff

McGlade

et al. 2004

Ophthalmic Physiologic Optic

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“…However, this scenario can only take place if patients are adequately informed about plasminogen activator injections prior to treatment and their expectations are set as realistic as possible. The prevention and treatment of the disease AMD and its side-effects remain far from ideal [11,16]. It is known that the lack of information and advice on AMD is a significant cause of dissatisfaction for these patients [24].…”

Section: Discussionmentioning

confidence: 99%

“…Future projects would be required to specifically design such facilities and help improve in-patient management during this difficult 1st week stay at the hospital. The fact that there is still much room for improvement in the management of AMD patients has previously been emphasized [16].…”

Section: Discussionmentioning

confidence: 99%

In-patient management and treatment satisfaction after intravitreous plasminogen activator injection

Mozaffarieh

Heinzl

Sacu

et al. 2006

Graefe's Arch Clin Exp Ophthalmo

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“…[161][162][163][164][165][166] The best battery of clinical tests to predict functional abilities with low vision on a range of everyday tasks has not yet been determined, 112 although there have been attempts to do so. 167 Meanwhile, use of the results of the subjective tests of vision described above will enable optometrists to respond to recent calls to improve the management of AMD patients [168][169][170] by regularly and accurately assessing their vision using the (mostly) standardised and validated clinical measures described above. The results can be used to give appropriate advice and/or optometric low vision care to improve the functional ability and quality of life of patients with AMD.…”

Section: Multidisciplinary Vision Rehabilitationmentioning

confidence: 99%

Assessment of age‐related maculopathy using subjective vision tests

Lovie‐Kitchin

Feigl

2005

Clinical and Experimental Optometry

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This paper reviews non-standard, clinical vision tests that may be used to detect the earliest visual loss in age-related maculopathy (ARM), before fundus changes are detected. We recommend a clinical test battery for all patients aged 60 years and older, comprising low luminance/low contrast (SKILL) VA or low contrast VA, desaturated D-15 colour vision assessment, flicker perimetry, glare recovery and dark adaptation if possible, together with conventional assessments of case history, ophthalmoscopy and high contrast visual acuity (VA) for the detection and diagnosis of ARM. Reading rate is also discussed as a potential indicator of early visual loss. For monitoring the progressive visual loss in age-related macular degeneration (AMD) and determining the requirements for optometric vision rehabilitation, we recommend more conventional clinical vision tests of distance and near visual acuity, reading rate, the effects of varying illumination and a functional central visual field assessment.

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Management of age related macular degeneration: still room for improvement

Cited by 4 publications

References 3 publications

Low vision service delivery: an audit of newly developed outreach clinics in Northern Ireland*

Low vision service delivery: an audit of newly developed outreach clinics in Northern Ireland*

In-patient management and treatment satisfaction after intravitreous plasminogen activator injection

Assessment of age‐related maculopathy using subjective vision tests

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